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EndoTODAY 내시경 교실


[위암 286 - 심달도 연습]

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추정 심달도는?

Advanced gastric carcinoma
1. Location : lower third, Center at body and greater curvature
2. Gross type : Borrmann type 3
3. Histologic type : tubular adenocarcinoma, poorly differentiated
4. Histologic type by Lauren : diffuse
5. Size : 2x1.7 cm
6. Depth of invasion : invades muscularis propria (pT2)
7. Resection margin: free from carcinoma
8. Lymph node metastasis : metastasis to 4 out of 62 regional lymph nodes (pN2)
9. Lymphatic invasion : present
10. Venous invasion : not identified
11. Perineural invasion : not identified
12. Peritoneal cytology : negative

[이준행 comment] 내시경을 잘 관리하면 fiberoptic endoscopy로도 충분히 잘 진단할 수 있습니다. 또 poorly differentiated 였습니다. 작지만 매우 심했군요.

© 일원내시경교실 바른내시경연구소 이준행. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng.